Painkillers of the NSAIDs drug family may interfere and reduce efficiency of SSRIs and may compound the increased risk of gastrointestinal bleeds caused by SSRI use.[93][95][106] NSAIDs include:
Aspirin
Ibuprofen (Advil, Nurofen)
Naproxen (Aleve)

now looking at the ingredients I don't see anything that stands out except the yohimbine wich could be a contamination concern from manufacting processes. hell maybe the blue dye. agree with mike on this one, call your dr. and discuss.